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Clinical qs

Respiratory Anatomy Clinical Qs

List 4 differentials for cough LRTI, URTI, COPD, asthma, lung cancer
Which virus causes shingles? Human herpesvirus - 3 (HHV-3)
Where does the chickenpox virus lie dormant in the body after primary infection? In the dorsal root ganglia of the sensory nervous system
What are the 2 types of diaphragmatic hernias? Congenital and hiatus (acquired)
Where do hiatus hernias occur? Adjacent to the oesophageal opening
What symptom are hiatus hernias associated with? Acid reflux
What procedures can be done to remove the fluid of a pleural effusion? Chest drain, thoracocentesis
What procedures can be done to try to prevent pleural effusions recurring? Pleurodesis, permanent drain, pleurectomy, pleuroperitoneal shunt
Describe the pleurodesis procedure Aims to treat recurrent pleural effusions in mesothelioma patients by adhering the surface of the lung to the interior surface of the chest wall
Name the different regions of the parietal pleura Costal, mediastinal and diaphragmatic
Which region(s) of the parietal pleura are supplied by the intercostal nerves? Costal
Which region(s) of the parietal pleura are supplied by the phrenic nerves? Mediastinal and diaphragmatic
Which nerves supply the visceral pleura? Nerves from the autonomic pulmonary plexus
What is epistaxis? A nosebleed
Damage to which blood vessels most commonly causes epistaxis? Blood vessels on the anterior-inferior part of the nasal septum
A partial airway obstruction at the larynx causes stertor or stridor? Stridor
A partial airway obstruction above the larynx causes stertor or stridor? Stertor
What could hoarseness be a symptom of? Unilateral recurrent laryngeal nerve damage
What could breathing difficulties and aphonia be a symptom of? Bilateral recurrent laryngeal nerve damage
What is removal of the larynx called? Laryngectomy
During which surgical procedure may the recurrent laryngeal nerve be damaged and why? Thyroid/parathyroid surgery because of the proximity of the recurrent laryngeal nerve to the thyroid gland
Why are inhaled foreign bodies more likely to lodge in the right main bronchus than the left? Because the right main bronchus descends almost straight down from the trachea and is wider and steeper than the LMB
Created by: sallyelphick